Medicaid Home Health Revenue Cycle Manager

Medicaid Home Health Revenue Cycle Manager Overview True North is seeking an experienced Freelance Medicaid Home Health Revenue Cycle Manager to partner with our Revenue Cycle Management team. This role focuses on improving the quality and accuracy of Medicaid billing by working directly with home health providers to optimize upstream processes that lead to higher first-pass claim acceptance and faster cash collections. This is not a traditional medical billing position. The successful candidate will identify root causes of billing issues, collaborate with providers to resolve operational challenges, and help establish best practices that improve long-term revenue cycle performance. Key Responsibilities Partner directly with home health providers to improve Medicaid revenue cycle performance. Review provider credentialing and enrollment to ensure compliance with Medicaid payer requirements. Evaluate claims prior to submission to maximize First Pass Paid performance. Analyze claim denials and payment trends to identify root causes and implement corrective action plans. Ensure documentation, authorizations, payer setup, and billing workflows align with Medicaid requirements. Verify compliance with Electronic Visit Verification (EVV) requirements and identify issues that may impact reimbursement. Work collaboratively with providers to improve documentation quality, authorization management, and operational workflows. Monitor key revenue cycle KPIs including: First Pass Paid % Denial Rate Days in Accounts Receivable Authorization Accuracy EVV Compliance Provide coaching and recommendations that improve long-term financial performance. Document findings and maintain action plans for provider follow-up. Serve as a trusted advisor to provider leadership and internal revenue cycle teams. Qualifications 5+ years of Medicaid Revenue Cycle Management experience in home health, personal care, or home care. Strong understanding of Medicaid billing requirements and payer regulations. Experience with EVV platforms and Medicaid compliance. Working knowledge of provider credentialing and payer enrollment. Experience analyzing denials and implementing corrective action plans. Ability to identify upstream operational issues that affect downstream reimbursement. Excellent communication and relationship management skills. Strong analytical and problem-solving abilities. Comfortable working independently in a remote consulting environment. Preferred Experience Experience with one or more of the following: Home health or personal care agencies Medicaid Managed Care Organizations State Medicaid programs Revenue Cycle consulting Electronic Medical Record (EMR) systems EVV platforms Home care software such as WellSky, AxisCare, Generations, KanTime, MatrixCare, or similar What Success Looks Like Success in this role is measured by creating sustainable improvements in provider revenue cycle performance, including: Increased First Pass Paid percentages Reduced denials and rework Improved credentialing accuracy Better EVV compliance Faster reimbursement Stronger provider education and operational discipline This is an opportunity to make a measurable impact by helping providers improve cash flow, strengthen compliance, and build more efficient revenue cycle operations.